Squirrel Hill, Wabash Street, and Cranberry, Pittsburgh, PA

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Cognitive behavioral therapy -- or CBT -- teaches a person how to recognize moods, thoughts, and situations that cause drug craving. A therapist helps the person avoid these triggers, and replace negative thoughts and feelings with ones that are healthier.

The skills learned in cognitive behavioral therapy can last a lifetime, making it a potentially powerful method of drug abuse treatment. However, not all therapists are trained in cognitive  behavioral therapy techniques, which can be complex.

Types of Counseling We Provide

In contingency management therapy, a person in drug abuse treatment receives positive incentives for staying clean. Vouchers for goods and services, or privileges in a more rigid treatment setting are common incentives. Contingency management therapy is effective in drug rehab studies. But skeptics point out its high costs, and that when incentives stop, its positive effects decline.

Cognitive Behavioral Therapy

Traditional therapies for drug abuse treatment involved confrontation. Addicts are masters of denial, the thinking went, and therapy should break down walls to force them to accept the reality of their addiction.

While confrontation may still have a role, many therapists instead promote motivational interviewing, a newer counseling method. In motivational interviewing, a therapist seeks to understand and enhance an addicted person's natural motivation for change. For example, if the person reveals he is motivated by love of his family, or returning to work, these may become the focus of therapy.

Motivational Interviewing

Contingency Management Therapy

Most experts today consider opioid addiction to be a chronic, relapsing illness. Just like other chronic illnesses such as diabetes or high blood pressure, opioid addiction treatment in some form must be lifelong.

Many people with opioid addiction will continue to take maintenance therapy in the form of methadone or Suboxone (buprenorphine/naloxone), sometimes for decades. By the same token, experts say, they should also continue some form of counseling.

This idea runs counter to historical views of drug rehab, in which a person was considered "cured" after a relatively short period in treatment. However, evidence is mounting that lifelong treatment with counseling or maintenance therapy and, often, both should be standard drug abuse treatment for most people with relapsing opioid addiction.

Maintenance Therapy

Psychological symptoms of Opioid Abuse

• Increased general anxiety

• Anxiety attacks

• Euphoria

• Psychosis

• Improved self-esteem

• Depression

• Irritability

• Lowered motivation

• Behavioral symptoms:

• Opioids are used for longer or at a greater amount than intended

• Unsuccessful attempts to decrease the amount taken

• Large amount of time spent obtaining, using, or recovering from the drug

• Abandonment of important activitieS

Group  counseling allows the opportunity for patients to process what they learn in treatment into the form of open group discussions and educational lectures. We believe that addiction education is a key part of each individual’s treatment, allowing them to learn about addiction, what impacts it and more importantly what can be done for a successful recovery. Group counseling allows individuals undergoing  drug rehab to experience getting support and feedback for personal addiction issues from the experiences peer support. Group Counseling is usually 2 hour groups that involves 8-10 other patients and a Licensed Counselor.This is usually recommend 1-2 times weekly.

Group Counseling

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